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Dissecting thoracic aortic aneurysm associated with tuberculous pleural effusion
Kyong Shil Im1, Min Kyung Choi1, Yong Kyoung Jeon1
1Department of Anesthesiology and Pain Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Journal of Thoracic Disease
|August 9, 2016
Summary
A rare case links thoracic aortic aneurysm to tuberculous pleural effusion. This highlights the risk of infected aortic aneurysms and potential pathogen transmission to healthcare workers.
Area of Science:
- Cardiology
- Infectious Diseases
- Pulmonology
Background:
- Thoracic aortic aneurysms (TAA) are serious vascular conditions.
- Tuberculous pleural effusion is a known manifestation of tuberculosis.
- Co-occurrence of TAA and tuberculous pleural effusion is exceptionally rare.
Observation:
- An 82-year-old female presented with a dissecting TAA requiring emergency stent graft repair.
- Preoperative imaging showed a right pleural effusion initially suspected as hemothorax due to the aneurysm.
- The pleural fluid was sanguineous and later identified as originating from pulmonary tuberculosis.
Findings:
- The patient's pleural effusion was caused by pulmonary tuberculosis, not the aortic aneurysm dissection.
- This case highlights a potential, albeit uncommon, association between infected aortic aneurysms and tuberculosis.
Implications:
- Physicians must consider infectious etiologies, including tuberculosis, in patients with thoracic aortic aneurysms and pleural effusions.
- Healthcare providers need to be vigilant about the risk of pathogen transmission when managing potentially infected aortic aneurysms.
- Awareness and preparedness for managing infected aortic aneurysms are crucial for patient safety and infection control.
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